Eng: Please register each delegate SEPARATELY (one person per form). Note that each registered person will need to select which conventions they have been elected to attend. If attending all, please check each checkbox. Select either Elected or Alternate for each person.

Eng: The delegate handbook will be available by download this year. There will be a limited number of printed delegate handbooks. Each person should bring their own device that is WIFI-capable (iPod, laptop, reader, tablet, etc.) so they can download the delegate handbook for their use during the sessions.

Eng: The first question below is for the email address of person completing the form. If you have any problems with this form, please contact Sheri Brown at sbrown@netxnaz.net. Registration is DUE BY: MAY 25.

Women's Ministries Director - local church / Directora de Ministerios de la Mujer - Iglesia local

Adult Ministries Director - local church / Director de Ministerios de Adultos - Iglesia local

NAME of the person who completed this form / Nombre de la persona que llenó esta forma. *

ENGLISH: You will receive an email confirming your submission. If you do not receive an email, it was not submitted and you will need to try again. Please be sure to hit SUBMIT. You may be required to click on pictures before being allowed to submit (this is something that Google will randomly require or you may receive a notification that you have not completed reCaptcha, be sure to do required validations and then SUBMIT again). If you need help, please contact Sheri Brown at sbrown@netxnaz.net SPANISH: Recibirá un correo electrónico confirmando su envío. Si no recibe un correo electrónico, no fue enviado y deberá volver a intentarlo. Asegúrate de presionar ENVIAR. Es posible que deba hacer clic en las imágenes antes de que se le permita enviarlas (esto es algo que Google solicitará al azar o puede recibir una notificación de que no ha completado ReCaptcha, asegúrese de hacer las validaciones necesarias y luego ENVIAR de nuevo). Si necesita ayuda, comuníquese con Sheri Brown a sbrown@netxnaz.net.